Chapter 814: Mountains and Flowing Water
Outside the door of the operating room, no matter how the doctors and nurses explained, no matter how Lao Song explained, Yao Xiurong believed that her child had an accident, and the doctors and nurses were just hiding it from her, she must go in to see, why didn't she let her in, there must be a ghost inside.
And her reason is the word "heart stopped", and she is paranoid and trapped in her own cognition and understanding.
Hey-——
To tell the truth, Lao Song admitted that this wife is good except for this, no matter the appearance conditions or the thrifty housekeeping, there is nothing to say, otherwise Lao Song would have retired from the book a long time ago.
No matter how she explains it, she just thinks that the person who sells health care products is right, and says that people are big companies, inviting celebrities to advertise, and the research team is all scientists, so there will definitely be no problem.
It's just that what kind of "smart medicine" tastes very good, and the child is greedy, so he always eats it secretly, which makes Lao Song guard against it every day.
Later, Lao Song learned that the so-called "smart medicine" is just a kind of psychotropic medicine that can refresh the mind, which is extremely harmful to the body, if Lao Song does not stop it in time, if he keeps eating it, the consequences will be unimaginable.
I heard that this matter is not over yet, Academician Wang had to go out in person, and the patient was recommended by him, and now this kind of thing has happened, Academician Wang is very embarrassed.
He came to the door of the operating room and scolded him harshly, the academician's aura was different, and immediately calmed Yao Xiurong, she said ignorantly: "Is it really okay?" ”
"The child is fine, now he is doing surgery on the stage, nothing will happen to you, if you want the child to have a smooth operation, just wait here quietly, if you can't wait here, go downstairs, don't interfere with the operation here, the operation is good, how can you make a fuss with the doctor and the operation at ease, nothing to do!" Academician Wang was very strict and not used to her at all.
Yao Xiurong stopped crying: "I heard that the child's heartbeat has stopped, so I -——"
"The child has had several surgeries, and the conversation has been clear and clear, haven't you listened? This surgery must stop the heart, otherwise how to do the surgery? This is an inevitable step of surgery, we have this special technology, and after surgery, we can make the heart beat again, why are you so ignorant? ”
Academician Wang spoke very sharply and showed no mercy, otherwise he would not understand what he said.
Lao Song explained next to him at this time: "It's like repairing the engine when we repair the car, how to repair it if the engine doesn't turn off?" It's the same thing. ”
Yao Xiurong finally understood this time: "What you said is true, right?" You're not hiding it from me, are you? ”
"What are you going to hide? Do I need to hide it from you? Is this necessary? Asking for trouble! Monkey business! "Academician Wang is really angry.
Lao Song doesn't know where to put his face now, he can't wait to find a crack in the ground to get into, the doctors and nurses are busy helping with the operation, and the child is spilling here, which is really funny.
"Hurry up, aren't you ashamed?" Lao Song immediately pulled up his wife and apologized to Academician Wang one by one.
"I'm sorry! She didn't understand, she was messing around, and we waited patiently. ”
Yao Xiurong probably felt that she was really mistaken, so she nodded and apologized to Academician Wang and the doctors and nurses, and then followed her husband to the waiting area.
But she was really anxious at the time, as a mother, when she heard the child's heart stopping, could she not be in a hurry? What can I do to help when I'm in a hurry besides crying?
——
The aorta is anterior, the pulmonary artery is posterior to the right, and the openings of the two large vessels are too far away from the normal position, which is not possible at all.
The opening must now be re-opened in its normal position, leading arterial blood from the passage of the left ventricular opening into the aorta and venous blood from the right ventricular opening channel to the pulmonary artery.
This step is a big move, and if it fails, the entire cardiovascular system will lose its function, and there is no way to repair it.
Therefore, at this point, the operation can only move forward, not backward, precisely because once the operation is used, there is no way back, so Academician Wang is so afraid that he can't come up with a reliable surgical plan.
If the heart is compared to a car engine, it is now necessary to reopen the engine to connect the intake and exhaust pipes, which is no longer the scope of maintenance, it is equivalent to a fundamental modification of the engine.
Li Ze would stand closer to the screen, he stared at the screen tightly, he knew that if he made a wrong step, the whole operation would be wasted, and there was no remedy.
Professor Yang is also a master of the arts, and if he were replaced by Li Zehui, it would be impossible for him to perform this kind of surgery.
Professor Chen and Professor Xin also got closer, and it can be said that this step of surgery is the most difficult and the most workload-intensive.
The position of the opening in this step should be very precise, and the difficulty of suturing is very large, it is necessary to insert the entire aortic tube into a new opening in the left ventricular wall, and then double suture inside and outside the ventricle, after suturing, no blood leakage, the entire flow channel from the ventricle to the aorta must be smooth, there can be no vortex or kicking, and the suture strength must be able to ensure that the healing period can be passed safely.
The same goes for the pulmonary arteries, which must achieve such an effect.
Regardless of the design of the new opening or the closure of the old opening, Yang Ping seems to be very proficient, as if this kind of walking surgery has been tempered by thousands of units.
The music in the operating room has been playing melodiously, looping the guzheng version of "Mountains and Flowing Water", and against this musical backdrop, Li Zehui, Professor Xin and Professor Chen are immersed in a transcendent artistic enjoyment as they watch the operation on the screen.
The surgery was very fast, but it was beautifully paced and presented with such a high quality that one had to think of a word-—— a fantastic workmanship.
The needle and thread are repeatedly in and out, and then the thread is repeatedly knotted and cut, and soon, the displacement of the aorta and pulmonary artery is completed.
In the chest, the original chaotic structures are completely gone, replaced by a neat and orderly new heart and large blood vessels, and the beauty of remodeling is presented on the screen.
Li Zehui remembered this music, as if it was this song every time he saw Professor Yang undergoing surgery, he quietly found the itinerant nurse and asked, "What kind of song is this?" ”
The nurse said: "Guzheng version of "Mountains and Flowing Water"! ”
Mountains and rivers!
——
Academician Wang returned to the operating room, and his anger was still unsubsided.
If Yang Ping weren't so confident, when this kind of thing happened, his emotions on the operating table would definitely be disturbed.
"It's all right! It's just nonsense, a misunderstanding, she doesn't know where she heard the child's heartbeat, she thought that the child had a problem, and cried for the ground. The child has had several surgeries and still doesn't know what's going on with cardiac arrest. Academician Wang returned to the operating room and told Yang Ping what happened.
Obviously, Yang Ping was not affected by this turmoil, and he still performed the operation calmly, as if the farce was just a joke in the operation.
The psychological quality of this young man is really good, and Academician Wang has to admire.
Academician Wang walked to the screen and began to continue to observe the operation-—— the operation was over, and now he was ready to re-beat his heart, and then he was going to stop the bleeding.
What does that mean?
Didn't there just have an anastomosis between the aorta and the pulmonary artery? They are also not in the right place and need to be corrected, and this is done? This step is a lot of work.
I didn't feel much about sitting and watching the operation all the time, and after leaving for a while, I suddenly found that Yang Ping's operation was really too fast, ridiculously fast.
After missing the most important step for a while, Academician Wang asked Professor Chen, "Are you done?" ”
Professor Chen nodded: "It's done!" ”
Professor Wang couldn't help but feel a little regretful, but he could watch the operation video slowly in the future, but he didn't feel like a live broadcast after all.
Cardiopulmonary bypass is removed, the heart beats successfully, the old rules, the last step to stop bleeding, this step is also very critical, and it often takes a lot of time.
After the blood, some small bleeding spots appeared in the chest cavity sporadically, which were eliminated by bipolar electrocoagulation, and all anastomosis parts did not need to stop bleeding at all, even if there was a little bleeding in some places, it was also caused by abnormal coagulation function, and the bleeding could be stopped naturally after five minutes of compression.
Academician Wang looked at two Yang Ping's surgeries, each of which was very clean, the entire surgical field was clean, and there was almost no bleeding.
"Color ultrasound!"
Yang Ping put down the instrument in his hand.
Academician Wang doesn't know how to describe this kind of self-confidence, just like having a thousand years of cultivation, no matter what difficulties can be resolved.
Intraoperative color ultrasound for general heart surgery is done by a doctor in the ultrasound department, and the cardiac surgeon's knowledge of color ultrasound is limited to the skin.
However, in general surgery, it is different to do color ultrasound and see color ultrasound is the basic item that must be trained.
Song Zimo was about to take off his gloves and go off stage to do color ultrasound, but Liang Fatzi took the initiative to ask Ying at this time: "I'll come!" ”
For Liang Fatzi, color ultrasound is also a basic skill, esophageal heart color ultrasound is nothing to him, and any senior doctor in comprehensive surgery, including the young Li Guodong, is not a problem.
Does the anesthesiologist still do color ultrasound?
Academician Wang was surprised again and came to Sanbo Hospital, and he had been spending time in surprise anyway.
Liang Fatzi pushed the color ultrasound machine, his movements were very skillful, the probe was quickly placed into the esophagus, to the back of the heart, the heart on the image was beating and beating, and the red and blue blood circulated back and forth.
"The atrial septum, the ventricular septum are well occluded, the mitral and tricuspid valves are not insufficient, and there is no stenosis of the aorta and pulmonary arteries-—— "Liang Fatzi skillfully dictated the report.
Academician Wang walked next to the fat man, stared at Cai Chao, and then stared at Liang Fat Man, how this anesthesiologist Cai Chao is so proficient.
"Your anesthesiologists also train color ultrasound?"
Academician Wang couldn't help but ask curiously.
"It's a basic subject that we have to master." Liang Fatzi said as he did it.
Xia Shu felt a lot of pressure on the side, so he still had to learn how to do cardiac color ultrasound from scratch? Not only can you do it, but you also have to be able to see, in the past, these jobs were done by color ultrasound doctors, and many surgeries must have excellent color ultrasound to provide support next to them.
Before surgery, esophageal ultrasound is used to make a diagnosis; After the operation, the effect of the surgery was evaluated with esophageal color ultrasound, and the chief surgeon dared to close the chest only after the evaluation was qualified.
Liang Fatzi looked at all the parts that needed to be seen, and Yang Ping himself stood next to him to look at the color ultrasound images, and he carefully interpreted each image himself.
"Great, call it a day!"
Yang Ping confirmed that there was no problem with the color ultrasound, and Liang Fatzi called it a day and took out the color ultrasound probe.
Can Professor Yang still watch esophageal color ultrasound by himself?
Academician Wang is unbelievable, even as a representative of the older generation, Academician Wang knows a little about color ultrasound, and there are no specialists at all.
Such an important operation does not need the assistance of a color ultrasound doctor, and he can see the whole process by himself, which shows that Professor Yang's color ultrasound level is extremely high.
The next step is to close your chest.
——
Yao Xiurong outside the door of the operating room walked around like an ant in a hot pot: "Five or six hours, why haven't you come out yet?" ”
"You just sit down, this kind of operation is also common for more than 20 hours, what's wrong with five or six hours, let's sit down and wait, okay." Lao Song had no choice but to persuade his wife.
"For more than 20 hours, my little treasure is not hungry?" Yao Xiurong was very worried.
Lao Song had a black line: "My good wife, please, sit down, you will have an infusion during the operation, you will not die of hunger, don't worry, Ao!" ”
"Old Song, you said that the child really won't have an accident? When your heart stops, you can't stop beating, right? Has the doctor ever encountered someone who couldn't jump before? Yao Xiurong asked.
Lao Song definitely couldn't discuss it with her normally, so he simply said: "No, the current record is 100% rejumping, and it has never been said that the re-jumping is unsuccessful after stopping the jump during the operation." ”
Yao Xiurong covered her heart: "Then I'll rest assured, you said it for so long, how can Xiaobao insist, poor son!" ”
At this time, Yao Xiurong burst into tears, and Lao Song handed her a tissue: "Sit down, rest well, don't toss." ”
"You say I'm tossing?" Yao Xiurong was angry and murderous.
Lao Song immediately changed his words: "I said I tossed, don't get me wrong, I mean me." ”
Finally, the door opened, Song Hanhui was pushed out, and Yao Xiurong rushed up like an arrow from the string: "Xiaobao, how is it?" ”
Lao Song saw that his wife didn't know where to take out a piece of chocolate, pinched it in her hand, and was so frightened that she broke out in a cold sweat, and hurriedly rushed up: "I can't eat yet." ”
Yao Xiurong said with tears in her eyes: "I know, I'll give it to him when he can eat it." ”
"You can't eat until six hours after surgery, so don't do it early." Anesthesiologist Liang Fatzi emphasized loudly.
Song Zimo said: "Send the CCU first, and then observe it for a few days." ”
In CCU, patients are isolated from their families, and even visits can only be made through glass walls.
——
Academician Wang, Professor Chen, Professor Xin and Li Ze will sit in the locker room and rest for a while.
Robert and August were also resting in the locker room, having just been in the classroom to observe the surgery with the students, although they were not majoring in cardiac surgery.
Li Zehui asked: "What is the music that Professor Yang played during the operation, it is very good, I see him play this song every time he has surgery." ”
Professor Xin thought for a moment and said, "It was the famous Chinese classical music, "Mountains and Flowing Water", which was played with our national musical instrument, the guzheng. ”
Mountains and rivers, Li Zehui has never heard of this music, he continued to ask: "Does this music have any connotation, I think it is very elegant, it can soothe people's emotions and make people feel calm." ”
Robert said slowly: "The connotation of this piece is that -—— music is subtle, and it is rare to find a bosom friend." ”
The music is wonderful, but the bosom friend is hard to find?
Li Ze pondered this sentence repeatedly, as if he didn't know the meaning of it.
Robert thought to himself, your face is white, so he explained to him, "The meaning of this piece is that I am so advanced that I can't find anyone who can understand me-——"
"Why does the professor like this piece, according to you, the tone of this piece should be depressing." August didn't understand either.
Robert sighed slightly:
"Professor Yang, this is a high place that is unbearable, lonely and defeating!"
At this time, Academician Wang, Professor Xin, and Professor Chen turned their heads to look at Robert at the same time.
PS: In the future, try to update on time at 11 o'clock in the evening, thank you!